| NPI | 1588021596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIRA ALSHARIF President 804-716-8408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |